Rachael Marie Polak, ACNP
NPI 1346882974ActiveIndividual· Nurse Practitioner, Gerontology· Dayton, OH
Nurse Practitioner, Gerontology (ACNP) in Dayton, Ohio, licensed in OH and TX, with an NPI issued in October 2019. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1346882974 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNP |
| Sole proprietor | No |
| NPI issued | Oct 15, 2019 |
| Last updated in NPPES | May 5, 2022 |
| Certified by provider | May 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | APRN.CNP.0031107 | OH |
| Nurse Practitioner, Acute Care | 363LA2100X | 856862 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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